Use this order form for phone, fax, email and mail orders...
 

 Landfall Navigation
Dinghy Locker @ Landfall
151 Harvard Avenue
Stamford, CT 06902 USA

info@LandfallNavigation.com		 Fax your order:
(203) 487-0776 ... Anytime!

 Phone your order:
(800) 941-2219 ... Mon to Fri, 9am - 5pm EST

Customer Service:
(203) 487-0775 ... Mon to Fri, 9am - 5pm EST
Bill To ( as it appears on credit card or check ) Ship To ( if different than bill to information )
Name


 Name
Company


 Suite/Floor Company Suite/Floor
Address


 Apt. No. Address Apt. No.
City, State


 Zip City, State Zip
Email Address
Daytime Phone No.  (      ) Daytime Phone No.  (      )
Payment Method

Check      Money Order      VISA      MasterCard      American Express      Discover

Credit Card Number
                               
Expiration Date
       

Signature                                                                                            Card ID# __________________

_______________________________________________________ (required for credit card payments)
Item Number Color / Finish Description Qty Unit Price Total
           
           
           
           
           
           
           
           
Merchandise Total  
(refer to http://www.landfallnavigation.com/info.html page for charges) Shipping & Handling  
(CT residents add 6.00%) Sales Tax  
ORDER TOTAL